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Electronic Visit Verification
Electronic Visit Verification, or EVV, is a requirement under the 21st Century Cures Act, a federal law passed in December of 2016. Under the 21st Century Cures Act, states must implement an electronic system to verify certain home and community based services were delivered in order to continue receiving federal financial support toward the costs of those services.

Federal law, Subsection l of Section 1903 of the Social Security Act (42 U.S.C. 1396b), requires all states to implement EVV for Medicaid-funded personal care services by January 2020 and home health care services by January 2023. States can select and implement their own EVV design. However, the EVV system must verify: type of service performed; individual receiving the service; date of the service; location of service delivery; individual providing the services and time the service begins and ends.

EVV Implementation
New Hampshire plans to work with our stakeholder community in the first half of 2020 to identify New Hampshire specific EVV design and program requirements. Those requirements will be utilized to procure the information system components needed to implement EVV.

At this time, NH is planning to implement an Open Vendor/Hybrid EVV Design Model. This model gives flexibility to the State to contract with a single EVV vendor, but allows providers and MCOs to use other vendors. The State EVV system could be used by providers that do not have their own EVV solution and will aggregate EVV data from multiple sources for use prior to claims payment.

NH sought a CMS good faith exemption Adobe Acrobat Reader Symbol to request to delay implementation until January 1, 2021, which was approved on November 21, 2019 Adobe Acrobat Reader Symbol. New Hampshire has contracted with Mercer Health & Benefits LLC to assist with stakeholder engagement and identifying EVV business and systems requirements that will be utilized as the foundation for a future Request for Proposal (RFP) to procure EVV technology and services. This process is scheduled to run through the summer of 2020.

Stakeholder Engagement
New Hampshire is committed to the full involvement of recipients, family caregivers, providers and other stakeholders in the planning and implementation of EVV. Stakeholder meetings and surveys will be held to obtain feedback from the stakeholder community, identify best practices, and identify needs/requirements to implement EVV. Read the overview of the EVV stakeholder engagement activities Adobe Acrobat Reader Symbol. This website will be updated as the statewide stakeholder meetings are scheduled.

EVV Advisory Council Schedule Adobe Acrobat Reader Symbol

Meeting Date Time Location Materials
March 10, 2020 1pm-3pm UNH-Institute on Disability (IOD) Agenda Adobe Acrobat Reader Symbol | Slides Adobe Acrobat Reader Symbol | Notes Adobe Acrobat Reader Symbol
March 31, 2020 1pm-3pm UNH-Institute on Disability (IOD) Meeting Cancelled
April 21, 2020 1pm-3pm DHHS-Brown Building Auditorium Meeting Cancelled
May 19, 2020 1pm-3pm Zoom Meeting Agenda Adobe Acrobat Reader Symbol | Slides Adobe Acrobat Reader Symbol | Notes Adobe Acrobat Reader Symbol
June 16, 2020 1pm-3pm Zoom Meeting Meeting Cancelled
July 21, 2020 1pm-3pm Zoom Meeting Agenda Adobe Acrobat Reader Symbol | Slides Adobe Acrobat Reader Symbol | Notes Adobe Acrobat Reader Symbol
August 18, 2020 1pm-3pm Zoom Meeting Agenda Adobe Acrobat Reader Symbol | Notes Adobe Acrobat Reader Symbol
September 22, 2020 1pm-3pm Zoom Meeting Agenda Adobe Acrobat Reader Symbol | Slides Adobe Acrobat Reader Symbol Notes Adobe Acrobat Reader Symbol
  • IOD is located at 57 Regional Drive, Suite 8, Concord, NH 03301
  • DHHS Brown Building Auditorium is located at 129 Pleasant St, Concord, NH 03301
  • All EVV Advisory Council meetings are open to the public. For more information, contact Mary St Jacques at

Community Stakeholder Forums/Listening Sessions

Five sessions Adobe Acrobat Reader Symbol are scheduled in June 2020 via Zoom meetings:

  • June 15 from 1:00 – 3:00 pm
  • June 18 from 1:00 – 3:00 pm
  • June 23 from 9:00 – 11:00 am
  • June 25 from 5:00 – 7:00 pm
  • Family Only - June 18 from 5:00 – 7:00 pm

Feedback Session Slides: Electronic Visit Verification, an Introduction Adobe Acrobat Reader Symbol

Managed Care Organization (MCO), Personal Care and Home Health Care Provider Listening Session
One session will be scheduled for June 2, 2020 from 2:00 – 3:00 pm EDT
Provider Invitation Adobe Acrobat Reader Symbol

Provider Survey Adobe Acrobat Reader Symbol
Results from the provider survey where responses were sought from all providers, both those with and without EVV systems, to help inform the design of the EVV system implemented by DHHS.

Individual/Family Advocacy Groups
Will be coordinated with each group

Other Sessions

If you would like to be included in the EVV distribution list, please send this information to

  • Name
  • Identify your role in EVV (e.g., service recipient, service provider, advocacy group)
  • Organization/Company you represent (if applicable)
  • Email address

Guiding Principles
EVV is guided by the following principles:

  1. New Hampshire’s approach to EVV will be consistent with federal law.
  2. EVV will be developed through a collaborative stakeholder process.
  3. EVV will be developed in a manner that respects recipients and providers, does not alter their Olmstead protections and is minimally burdensome.
  4. EVV will not change the number of service hours, nor how or where services are delivered.
  5. Existing information systems will be leveraged for EVV.
  6. Providers, recipients and other stakeholders will be trained on the use of the EVV system.

Which programs will be impacted by EVV in New Hampshire?
EVV will impact all personal care services and home health care services provided under the state plan and four Home and Community-Based Service (HCBS) waivers.
State plan personal care services and home health care services are predominately managed by the three NH Medicaid Care Management organizations. A small number of recipients still receive services under Medicaid Fee-for-Service, which are paid through the Medicaid Management Information System. Those stakeholders include:

  • AmeriHealth Caritas New Hampshire
  • New Hampshire Healthy Families
  • Well Sense Health Plan
  • Medicaid Management Information System – Conduent

The NH Division of Long Term Services and Supports administers personal care services and home health care services provided under Medicaid Home and Community-Based Service (HCBS) programs. Impacted HCBS programs include:

  • Acquired Brain Disorder (ABD) Waiver
  • Choices for Independence (CFI) Waiver
  • Developmental Disabilities (DD) Waiver
  • In Home Support (IHS) Waiver for Children with Developmental Disabilities

The NH Bureau of Improvement and Integrity – Program Integrity Unit is charged with monitoring financial claims for NH's Medicaid plan. The Program Integrity Unit will be responsible for monitoring EVV compliance.

Please email with questions regarding the EVV implementation.

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New Hampshire Department of Health and Human Services
129 Pleasant Street | Concord, NH | 03301-3852

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